The most effective operation for patiens, to treat a particular disease. Operation is a safer way and little more effective in preventing disease. The operation can be performed for patients in certain cases such as surgery on the stomach.
Q1. What types of bariatric surgery do you perform?
There are two primary types of bariatric surgery plus the newer gastric banding surgery. Bileopancreatic diversion bypass & Roux-en-Y-gastric bypass In both bariatric bypass surgeries, a small pouch is created by stapling a portion of the stomach.
The small intestine is then attached to the stomach so that food bypasses the upper part of the small intestine (the duodenum). This results in significantly reduced food intake and the patient also feels full sooner. With both of these techniques, the patient loses most weight in the first year, and weight loss is usually complete by the end of the second year.
Both procedures are permanent and cannot be reserved. Gastric banding involves placement of a silicone band around the upper stomach to restrict food intake. This slows the passage of food to the lower stomach, resulting in the patient feeling full sooner. This band can be inflated or deflated to reduce or increase the size of the passage between the two stomachs.
This surgery is done laparoscopically and has the least recovery time. In some cases, this surgery can be done on an outpatient basis. While the two bypass surgeries may limit the foods the patient can tolerate, the banding procedure only limits quantity. Over time, patients who undergo gastric banding may be more likely to regain the weight lost.
Read our Bariatric Surgery Glossary for additional information. Q2. If you prefer one bariatic procedure over the others, could you explain why? What are factors you use in deciding which to perform?
The Roux-en-Y procedure is the most commonly performed bariatric procedure and produces good weight loss, usually up to 50 to 60 percent of excess weight in the first two years.
It is less invasive than the bileopancreatic diversion surgery, can be done laparoscopically in some cases, and recovery time is usually quicker. It has a lower risk of complications and nutritional deficiencies.
Laparoscopic banding (also known as lap band) is the least invasive but requires a great deal of patient compliance to achieve maximum weight loss. Gastric banding also requires frequent doctor follow-up at to adjust the band. It is reversible when weight loss is complete.
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